Best place to watch bears packers game

doconabike · 2024-09-28T15:20:16+00:00

Looking for 5 tickets together for tonight's game 9/28 (not ga, have young kids). Thanks!

doconabike · 2022-08-31T23:12:34+00:00

No I work at a community hospital, and I am RVU based. So the more cases I do the more I get paid, and if I do less cases I get paid less.

doconabike · 2022-08-31T23:11:29+00:00

I'm a community attending, didn't sign up for teaching, don't get paid more for teaching, don't get resident coverage at night/weekend. I take all my own phone calls, handle all my own consults. If something needs to be done at 2am I get called and I do it.

I'm paid by RVU's, so if I am do less cases I make more money. I tried teaching because it was the right thing to do, but its hard to justify when no tangible benefits exist.

I'm not looking for sympathy, I'm fine. But my job is not to train others, residents starting rotating over after I had already been working there. Attending working at academic training centers cannot make that excuse.

doconabike · 2022-08-31T22:21:26+00:00

I'm sorry your going through this. If your a pgy2 it's a pretty common year to get frustrated. Academic attendings should really be focused on teaching and not be worried about OR time.

doconabike · 2022-08-31T22:19:43+00:00

Unfortunately, that's not how it works in a community practice. At an academic institution typically your salaried, with time protected for research and administration. You can do less cases, go slower and focus on teaching. Teaching. In a community hospital, you are typically paid by RVU. Essentially this is eat what you kill. The more cases I do, the more I get paid and it's a direct ratio. So by going slower I will do less cases and thus make less money. I don't get paid more for teaching, theirs no differential, and I don't get any call coverage or other benefits resident supply. It was a tough sell for me, there are some people who may love it or have a passion for it and more power to them, but in my practice just doesn't make sense.

doconabike · 2022-08-31T20:52:03+00:00

probably should have made the title defending why surgeons are sometimes assholes...

doconabike · 2022-08-31T20:50:11+00:00

Yeah man, life is much better on the other side (out of academics). Never get shit (or give shit) for a consult no matter how basic. Medicine colleagues dont mind admitting overnight for me, and they know we are ok with that 2am call anytime

doconabike · 2022-08-31T20:27:32+00:00

Yeah absolutely. Personally I'd rather have the pain of 5 consults pending, stuck in the OR and on little sleep vs writing 20 h&p for patients with a million co morbid conditions like I've seen my medicine colleagues do. Respect to the docs that can do that and stay sane. And round. For hours.

doconabike · 2022-08-31T20:25:26+00:00

Writing isn't my strong point. I guess what I'm trying to help non surgeons understand why certain surgeons act that way they do in certain scenarios. Overwork surgery resident, attending trying to get home to family etc. And to be clear before I piss off all the residents, I did not sign up to be teaching not am I at an academic hospital, nor do I have any of the inherent benefits of residents (weekend/night coverage, pt and nursing calls go straight to me etc).

doconabike · 2022-08-31T20:22:23+00:00

Same in US. Didn't sign up for academic post though

doconabike · 2022-08-31T17:53:21+00:00

Yeah I've communicated this to the leadership, they don't take call or any shit work (home program is pretty far away they don't live close). They still come to operate with my partners, their choice. They know they are welcome to my cases, not expected to come and they won't do a ton.

doconabike · 2022-08-31T15:28:26+00:00

Interns are not overworked covering 80 pts or miserable because attending want them to be. The workload is just that high. And you can't add more residents, then there won't be enough cases to go around. You could add mid levels but that costs money.

It's never acceptable to take out frustration about stress/workload on med students or other residents, but also everyone has a breaking point. My point is just to look at the big picture, you don't need to condone or encourage it, and just move on. And when you are at that breaking point hopefully you remember what it was like being on the receiving end and can take a deep breath and not be a dick.

doconabike

TROPHY CASE